Active NPI
Joanne Gigi Hardtke, ARNP
- Nurse Practitioner
- Lakewood, WA
National Provider Identifier
1598713869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP30006122
- Practice address
- 7424 Bridgeport Way W
Suite 301
Lakewood, WA 98499-8120 - Phone
- (253) 212-0093
- Fax
- (866) 375-6026
- NPI assigned
- May 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP30006122 | WA | Primary |
Addresses
Primary practice location
7424 Bridgeport Way W
Suite 301
Lakewood, WA 98499-8120
Mailing address
3702 S Fife St
Suite K, PMB 402
Tacoma, WA 98409-7374
Phone (253) 212-0093
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9637612 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30006122 | WA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hardtke'S House Calls, LLC | Nurse Practitioner | Past | Accepting new patients |
| Mso Washington, Inc. | Nurse Practitioner | Past | Accepting new patients |
| Joanne Gigi Hardtke, Arnp, PLLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nurse Practitioner
- Tacoma, WA
- NPI 1598964470
-
- Licensed Practical Nurse
- Tacoma, WA
- NPI 1538352455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214438400000",
"number": "1598713869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3702 S FIFE ST",
"address_2": "SUITE K, PMB 402",
"city": "TACOMA",
"state": "WA",
"postal_code": "984097374",
"telephone_number": "253-212-0093",
"fax_number": "866-375-6026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7424 BRIDGEPORT WAY W",
"address_2": "SUITE 301",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984998120",
"telephone_number": "253-212-0093",
"fax_number": "866-375-6026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDTKE",
"first_name": "JOANNE",
"middle_name": "GIGI",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-05",
"last_updated": "2008-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP30006122",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9637612",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.